失眠证病因及其中医调治

Causes of insomnia and its traditional Chinese medicine therapy

目的:总结和分析失眠证发生原因,探讨形成失眠证的影响因素以及失眠证中医调治的具体措施。方法:应用计算机检索中国期刊全文数据库1996-01/2005-12的相关文章,限定文章语言种类为中文,检索词“失眠证”“中医治疗”。结果:失眠证的发生原因主要有病原性(疼痛、躯体活动障碍、呼吸道炎症、乙型肝炎等)和心理失衡、用药不当、环境因素。针对失眠证的病因病症,临床发挥中医优势,可采用中医药辨证、辨病论治、心理调整、行为治疗、环境改善等调养方法和措施。结论:失眠证的形成因素是多方面的,各种因素间可相互影响。临床为治疗和预防失眠证的发生,应依据失眠证具体原因和发病特征进行调养治疗。

AIM： To summarize and analyze the causes of insomnia, so as to explore the effective factors and therapy with traditional Chinese medicine of insomnia. METHODS： A computer-based online search of Chinese Journals Full- text Database was undertaken for articles published in Chinese between January 1996 and December 2005 with the key words of ＂insomnia, traditional Chinese medicine treatment＂. RESULTS： The causes of insomnia included pathogenic （pain, somatic dyskinesia, inflammation of respiratory tract, type B hepatitis and so on）, psychogenic, drug-induced, and environmental factors. According to its causes, the insomnia could be treated by traditional Chinese medicine with the methods of diagnosis and treatment based on the overall analysis and illness, psychotherapy, behavior therapy, and improvement of the sleep environment. CONCLUSION： Many factors result in insomnia, and those factors interact each other. The insomnia should be treated and prevented according to the causes and features of it in clinic.